Mi-Kyoung Song is a Retina Specialist in Salem, Oregon. Mi-Kyoung Song practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Mi-Kyoung Song is 1619962131. The last update date is 2022-03-11.
Mi-Kyoung Song's current location address is 5125 Skyline Rd S, Salem, Oregon. You can contact this provider via phone number 5033615400. The mailing address for Mi-Kyoung Song is 5125 Skyline Rd S, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mi-Kyoung Song |
|---|---|
| Address | 5125 Skyline Rd S, Salem, Oregon |
| Phone Number | 5033615400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619962131 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2022-03-11 |
Provider Mailing Address Detail
| Address | 5125 Skyline Rd S |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973069413 |
| Phone Number | 5033615400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | MD207140 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 543050 | AZ | -- | |
| NM004260 | NM | BC BS OF NM | |
| 50900030 | CO | -- | |
| 180040573 | NM | RRB MEDICARE RAILROAD | |
| 66411 | NM | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mi-Kyoung Song by the Centers for Medicare & Medicaid Services?
The Mi-Kyoung Song has been issued the NPI (National Provider Identifier) 1619962131. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mi-Kyoung Song is geographically located?
The Mi-Kyoung Song is physically situated at the following location: 5125 Skyline Rd S, Salem, OR, 973069413.
What is Mi-Kyoung Song's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mi-Kyoung Song is Retina Specialist, and the taxonomy code that categorizes this field of expertise is 207Wx0107X.
On what date was the 1619962131 assigned to Mi-Kyoung Song?
The Mi-Kyoung Song was issued its 1619962131 on 2005-09-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mi-Kyoung Song, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mi-Kyoung Song, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-11.
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